green ball.gif (1006 bytes) Long Term Care Facilities Home Page
green ball.gif (1006 bytes) Applications/Licensure Requirements
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green ball.gif (1006 bytes) Disciplinary Actions
green ball.gif (1006 bytes) Duplicate License
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green ball.gif (1006 bytes) Food Service Code Book
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Long Term Care Facilities
Duplicate License

The form may be completed online, however, it cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address below.

A duplicate or reissued license is available for a fee of $10.00. pdf icon Duplicate/Reissue Form

Licensure Unit
Long Term Care Facilities
PO Box 94986
Lincoln, NE 68508-9486

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